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Individual

GLENNA FAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
2973 22ND ST NE, HARVEY, ND 58341-9330
(701) 341-0507
Mailing address
2973 22ND ST NE, HARVEY, ND 58341-9330

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
06/13/2023
Last updated
06/13/2023
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